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患者女,50岁,因吞咽困难1个月住院。咽下困难为间断性,进各种性质的食物均有噎感,逐渐加重但住院时还能进普食。有胃病史10余年,物理检查未见异常。X 线照片(附图见封二):食管中1/3处有约4cm长狭窄,狭窄上可见食管明显扩张,食管粘膜正常。食管内窥镜检查:距门齿30~32cm 处可见食管呈环形狭窄,管壁僵硬,纤维胃镜不能通过。狭窄近端粘膜充血、水肿,有表浅糜烂,于狭窄处取活检四块,组织学检查为鳞状
Female patient, 50 years old, hospitalized for 1 month due to dysphagia. Swallowing difficulties as intermittent, into all kinds of food have a sense of disgust, and gradually increased but also admitted to the general population when hospitalized. A history of stomach more than 10 years, no abnormal physical examination. X-ray photo (see the picture cover two): 1/3 at the esophagus about 4cm long stenosis, visible esophageal stenosis significantly expanded, normal esophageal mucosa. Esophageal endoscopy: 30 to 32cm away from the incisors were seen esophageal ring was narrow, rigid wall, fiber endoscopy can not pass. Narrow proximal mucosal congestion, edema, superficial erosion, in the stenosis at biopsy four, histological examination was scaly